Bisfosfonatos y osteonecrosis maxilar: una revisión de la literatura narrativa

Autores/as

DOI:

https://doi.org/10.33448/rsd-v12i4.41166

Palabras clave:

Bisfosfonato; Osteonecrosis; Mandíbulas; Odontología.

Resumen

Los bisfosfonatos son una clase de medicamentos que se usan en el tratamiento de enfermedades que causan reabsorción ósea, incluida la osteoporosis, la enfermedad de Paget del hueso, así como enfermedades relacionadas con malignidad, como el mieloma múltiple. Uno de sus mecanismos de acción es la inhibición de la actividad de los osteoclastos. Desde 2003, estudios reportan la asociación de osteonecrosis avascular de los huesos maxilares con el uso de bisfosfonatos, siendo un ejemplo de reacción adversa. Varios signos y síntomas dan lugar a sus manifestaciones clínicas, debido a complicaciones en la terapia con bisfosfonatos, y pueden ser asintomáticos o, en algunos casos, cursar con dolor y necrosis cuando hay exposición del hueso mandibular o maxilar. Así, el objetivo de este estudio fue realizar una revisión bibliográfica acerca de la relación entre la osteonecrosis de los maxilares y el uso de bisfosfonatos. Para realizar esta revisión bibliográfica se evaluaron artículos científicos investigados en inglés y portugués sin límite de año de publicación en las siguientes bases de datos: PubMed, SciELO (Scientific Electronic Library Online, Scopus Elsevier, BVS (Virtual Health Library) y Academic Google Utilizando los descriptores: “Bifosfonatos, Osteonecrosis, Mandíbulas, Odontología”, se concluye que la osteonecrosis de los maxilares es una enfermedad que puede estar relacionada con el uso de bisfosfonatos, y que aún no existe un tratamiento estándar para esta patología, idealmente , antes de iniciar el tratamiento con bisfosfonatos, el paciente debe acudir a una cita odontológica para realizar posibles tratamientos invasivos y conseguir una buena salud bucodental.

Citas

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Publicado

13/04/2023

Cómo citar

MONTE, F. M. M. .; FURTADO, M. A. M. . Bisfosfonatos y osteonecrosis maxilar: una revisión de la literatura narrativa. Research, Society and Development, [S. l.], v. 12, n. 4, p. e20812441166, 2023. DOI: 10.33448/rsd-v12i4.41166. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41166. Acesso em: 22 dic. 2024.

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Ciencias de la salud